Workforce Readiness and Disaster Deployment - PowerPoint Presentation

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Workforce Readiness and Disaster Deployment

Session 2 – Lesson ThreeSlide3

Learning Objectives

Discuss pre-deployment considerations for participation in disaster response, including team activation and motivation, risk awareness and mitigation, education, training, and personal fitness for duty

Describe workforce protection measures in disaster, including purpose and types of personal protective equipment and decontaminationSlide4

Background

Potential risks and disruptions must be recognized

Disaster operations physically and emotionally difficult

Coping strategies needed

Marvin Nauman/FEMASlide5

Pre-deployment

Preparation and Planning

Responders must be healthy enough to perform duties and be self sufficient

All aspects of well being not just medicalSlide6

Maintaining Deployment Status

At-home personal matters need to be addressed while deployed

Financial/emotional support for responder’s family arranged

Arrangements for absence from work

Legal affairs in orderSlide7

Personal Health and Wellness

Obtain physical exam prior to deployment

Identify and address

acute and

chronic health problems before deployment Ensure immunizations are currentAcquire supply of personal medicationsExpect long work shifts with decreased opportunities to sleep

Leif Skoogfors/FEMASlide8

Personal Equipment and Packing

Keep personal identification available at all times

Wear clothing appropriate for weather

Maintain a “go-kit”Slide9

Pre-deployment

Education and Training

Complete training requirements prior to deployment

“Just-in-time” training may occur during deployment

Knowledge of NIMS, personal protective equipment, decontamination, scene security, and triage principlesSlide10

Personal Risk

Awareness and Mitigation

Mitigate Risk of Injury

Hygiene

Clean hands frequently

Shelters

Ensure situational awareness

Insects

Use repellent, wear appropriate clothing, use bed nets

Injuries

Consider hazards (power lines, unstable structures)Slide11

Workplace Activation and Mobilization

Notification of disaster via pre-established methods

Mobilization time frame after activation varies by role

Responders accountable for compliance with pre-deployment policies and check-inSlide12

Workforce Protection

Slide13

Disaster Scene Operational Control ZonesSlide14

Selection and Use of

Personal Protective Equipment (PPE)

Safety officer determines level of PPE needed

PPE must be used properly during all phases

Two components of PPE:Respiratory protection – purifiers, supplied air devices (SCBA), or air-line respiratorProtective garments – vapor-tight suits, partially resistant suit, or hooded coverallSlide15

Selection and Use of

Personal Protective Equipment (PPE)Slide16

PPE – Level A

Pros

Highest level of

protection

ConsExpensiveRequires extensive trainingCertification requiredLimited air supplyFatigue/heat exhaustion DexterityCommunication

Highest level

SCBA with vapor-tight suitSlide17

PPE – Level B

High-level respiratory

Less eye or skin protection needed

Pros

High level of respiratory protection

Cons

Less protection from liquid or vapor

Expensive

Requires extensive

training and fit testing

Certification

required

Limited air supply (SCBA)

Can use supplied air (limited range)

Fatigue/heat exhaustion

Dexterity limited

Communication issuesSlide18

PPE – Level C

Pros

Comparatively inexpensive

Good respiratory protection

ConsLess protection from liquid or vaporStill requires trainingRequired fit-testing programCertification requiredWill not work in oxygen-deficient environmentsProtection against chemicals limitedFatigue/heat exhaustion Dexterity limitedCommunication issues

Usually adequate for hospital DECON operations

Skin/eye exposure possible

Chemical resistant clothing with APR mask or hood

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PPE - Level D

Pros

Inexpensive

Cons

Provides no, or limited, protection against liquids, particulates, or vaporsMay require fitting and fit testing (N-95, etc)Varies widely by job description

Universal Precautions

Typical work uniformSlide20

PPE Challenges

Clinical procedures and casualty assessment challenges

Senses are impeded

Decreased touch

Hearing and sight limitedSmell intentionally reducedPerforming lifesaving interventions remains high priorityShannon Arledge/CDPSlide21

Casualty Decontamination

Trained and appropriately equipped personnel should perform decontamination

Remove or deactivate contaminants to prevent secondary contamination

Consider decontamination in all explosive, hazardous material, or radiation exposure events

No potentially contaminated patients to or in health care facilities without decontaminationSlide22

Casualty DecontaminationSlide23

Mass Decontamination Considerations

Only lifesaving interventions performed before decontamination

Each agency should have protocol for what can be done prior to decontamination

After decontamination, move for further medical and mental health evaluation

WET  STRIP  FLUSH COVERSlide24

Special Decontamination Considerations

Nonambulatory:

require special procedures and additional personnel to move

Children:

increased risk of hypothermia, fear, and psychological traumaCognitively or physically impaired (e.g., deaf, dementia): will need additional resourcesAssistive devices (e.g., walkers or prosthetics): need to be removed and decontaminatedSlide25

Workforce Demobilization

Demobilization planned process:

Not emergency evacuation

Organized transition

Operations shift from response to recoveryMay participate in debriefing – “hot wash”Slide26

Workforce Deployment-Related Stress

Disaster response can be stressful but rewarding

Emotional stressors include:

Loss of life/serious injuries

Emotional distress of victimsSleep deprivation/lacking basic comfortsSeparation from familySymptoms of stress are normal and generally temporarySeek professional help if persistsSlide27

Workforce Demobilization

and Deployment-Related Stress

Everyone experiencing disaster affected by situation

Healthy to reach out for help and accept when needed

Everyone has different methods of copingElissa Jun/FEMASlide28

Question 1

What is the highest level of PPE?

Level A

Level B

Level CLevel DSlide29

Question 1

What is the highest level of PPE?

Level A

Level B

Level CLevel DSlide30

Routine medical treatments

Lifesaving interventions

Triage category assignment

All of the above

Question 2What should be performed priorto decontamination?Slide31

Routine medical treatments

Lifesaving interventions

Triage category assignment

All of the above

Question 2What should be performed priorto decontamination?Slide32

Question 3

Which of the following statements

is true about demobilization stress?

Responders should not experience stress

Symptoms of stress are never normal All responders should seek mental health treatmentEveryone copes with stress differently Slide33

Question 3

Which of the following statements

is true about demobilization stress?

Responders should not experience stress

Symptoms of stress are never normal All responders should seek mental health treatmentEveryone copes with stress differently Slide34

Lesson Summary

Responders must possess knowledge, demonstrate skills, maintain fitness, and be able and prepared to perform duties

Risks, disruptions, and hazards part of every disaster response operation

Responder must be aware of and use personal protective equipment to protect self

Perform lifesaving interventions when necessary prior to decontaminationSlide35

Questions?